NPIMap

Organization Active NPI

Sunil Gupta MD LLC

Doing business as Retina Specialty Institute

  • Ophthalmology Physician
  • Gulf Breeze, FL
National Provider Identifier
1225750441
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUNIL GUPTA MD LLC
Doing business as
Retina Specialty Institute
Practice address
3688 Gulf Breeze Pkwy Ste a
Gulf Breeze, FL 32563-3538
Phone
(850) 476-6759
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sunil Gupta, MDNPI 1063489383
Title
Owner
Phone
(850) 476-6759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

3688 Gulf Breeze Pkwy Ste a
Gulf Breeze, FL 32563-3538

Mailing address

5150 N Davis Hwy
Pensacola, FL 32503-2030
Phone (850) 476-6759

Other names 1

  • Retina Specialty Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Retina Specialty Institute8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3688 Gulf Breeze Pkwy
Ste A
Gulf Breeze, FL 32563
Phone (855) 573-8462

5150 N Davis Hwy
Pensacola, FL 32503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1225750441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032030",
            "telephone_number": "850-476-6759",
            "fax_number": "850-484-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 GULF BREEZE PKWY STE A",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633538",
            "telephone_number": "850-476-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL GUPTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-6759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Specialty Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.